Individual provider · Type 1 NPI

Alicia Ann Vandenberg, MSW, LICSW

Clinical Social Worker · Maplewood, MN

NPI number 1023410107 Active

Practice location

2345 Ariel St N
Maplewood, MN 55109-2248

Call (651) 254-4793 Map

Fax (651) 254-0877

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X15924 (MN)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1023410107

Alicia Ann Vandenberg, MSW, LICSW's National Provider Identifier is 1023410107, issued on Sep 21, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Maplewood, MN. The record was last updated on Sep 21, 2014.